Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1184801128 |
---|---|
Provider Name | Mr. David Stangel |
First Address | Pittsburgh, PA 15237 |
Second Address | Pittsburgh, PA 15237-2564 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2008 |
Last Update Date | 22/01/2008 |